Organization
STEVEN CALLEROS MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN CALLEROS (PRESIDENT)
(818) 314-8300
Entity
Organization
Contact information
Practice address
4499 VIA MARISOL APT 107A, LOS ANGELES, CA 90042-5129
(818) 314-8300
Mailing address
4499 VIA MARISOL APT 107A, LOS ANGELES, CA 90042-5129
(818) 314-8300
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
A73924
CA
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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